Clinical Edge Journal Scan

HER2+ metastatic BC: Dual blockade with P + T effective and safe in routine clinical practice


 

Key clinical point: Patients with human epidermal growth factor receptor 2-positive (HER2+) metastatic breast cancer (BC) who relapsed after prior (neo)adjuvant trastuzumab (T) treatment benefitted from dual blockade with pertuzumab + trastuzumab (P + T) in routine clinical practice.

Major finding: The median progression-free survival was 18.8 months, with comparable outcomes observed in patients with hormone receptor (HR)-positive vs HR-negative BC (18.2 vs 19.4 months) and with visceral vs non-visceral metastasis (18.0 vs 20.5 months). No new safety signals were reported, and 6.1% of patients reported fatal serious adverse events.

Study details : Findings are from the observational, noninterventional, HELENA study including 126 patients with HER2+ metastatic BC who relapsed after prior (neo)adjuvant T treatment and received first-line P + T + chemotherapy.

Disclosures: This study was funded by Roche Pharma AG. Some authors declared receiving personal fees, grants, honoraria, or consulting fees from several sources, and one author declared being an employee and holding stocks in Roche Pharma.

Source: Thill M et al. Dual HER2 blockade with pertuzumab (P) and trastuzumab (T) in patients with HER2-positive metastatic breast cancer (mBC) relapsing after adjuvant treatment with T: Results from a German non-interventional study (NIS) HELENA (NCT01777958). Breast Cancer Res Treat. 2022 (Sep 12). Doi: 10.1007/s10549-022-06710-4

Recommended Reading

Genetic tests create treatment opportunities and confusion for breast cancer patients
MDedge Hematology and Oncology
Commentary: New Treatments and Fertility Preservation in BC, October 2022
MDedge Hematology and Oncology
Cost paramount when choosing metastatic breast cancer treatment
MDedge Hematology and Oncology
Cancer as a full contact sport
MDedge Hematology and Oncology
Is early-onset cancer an emerging global epidemic?
MDedge Hematology and Oncology
What is known about sexual dysfunction after breast cancer?
MDedge Hematology and Oncology
Reminder that COVID-19 and cancer can be a deadly combo
MDedge Hematology and Oncology
Hair straighteners’ risk too small for docs to advise against their use
MDedge Hematology and Oncology
Switching to fulvestrant + palbociclib benefits ER + HER2− BC patients with rising bESR1mut
MDedge Hematology and Oncology
Metastatic TNBC: Apatinib + vinorelbine shows acceptable efficacy and safety in phase 2
MDedge Hematology and Oncology